Individual provider · Type 1 NPI

Detra Shauntel Simpo, OTR/L

Occupational Therapist · St. Johns, FL

NPI number 1710071220 Active

Practice location

518 Dry Branch Way
St. Johns, FL 32259-6203

Call (904) 382-7886 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT9940 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1710071220

Detra Shauntel Simpo, OTR/L's National Provider Identifier is 1710071220, issued on Oct 2, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Johns, FL. The record was last updated on Sep 1, 2020.